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Table 5 Barriers preventing chiropractic orthopedic diplomates from practicing evidence-based clinical practice ( n = 132)

From: Attitudes toward evidence-based clinical practice among doctors of chiropractic with diplomate-level training in orthopedics

 

Not a barrier (%)

A minor barrier (%)

A moderate barrier (%)

A major barrier (%)

Lack of clinical evidence in CAM

18 (13.6)

42 (31.8)

58 (43.9)

14 (10.6)

Lack of industry support for EBCP

50 (37.9)

58 (43.9)

22 (16.7)

2 (1.5)

Lack of time

18 (13.6)

48 (36.4)

43 (32.6)

23 (17.4)

Insufficient skills for locating research

50 (37.9)

54 (40.9)

21 (15.9)

7 (5.3)

Insufficient skills for interpreting research

45 (34.1)

55 (41.7)

24 (18.2)

8 (6.1)

Insufficient skills to critically appraise/evaluate the literature

40 (30.3)

60 (45.5)

25 (18.9)

7 (5.3)

Insufficient skills to apply research findings to clinical practice

44 (33.3)

65 (49.2)

20 (15.2)

3 (2.3)

Patient preference for treatment

50 (37.9)

58 (43.9)

22 (16.7)

2 (1.5)

Lack of resources

86 (65.2)

33 (25.0)

12 (9.1)

1 (0.8)

Lack of incentive to participate in EBCP

48 (36.4)

41 (31.1)

29 (22.0)

14 (10.6)

Lack of interest in EBCP

73 (55.3)

45 (34.1)

7 (5.3)

7 (5.3)

Lack of relevance to chiropractic practice

63 (47.7)

47 (35.6)

19 (14.4)

3 (2.3)

Lack of colleague support for EBCP

62 (47.0)

38 (28.8)

24 (18.2)

8 (6.1)

  1. CAM complementary and alternative medicine.
  2. EBCP evidence-based clinical practice.